Adults with disabilities JSNA

Full JSNA Chapter

Overview

A 2010 study by the Improving Health and Lives Learning Disabilities Observatory (IHaL) found that people with learning disabilities have poorer outcomes than their non-disabled peers and that these differences were, to an extent, avoidable. Outcomes for disabled adults are poorer when compared to the wider population in almost every manner. 

Following the Winterbourne View Serious Case Review, the Northamptonshire Transforming Care Partnership was formed to focus in prevention, early intervention, keeping well, avoiding crisis and crisis support.

The Transforming Care Plan will result in care and support becoming:

  • closer to home
  • in line with the best models of care
  • co-ordinated and person centred
  • personalised and responsive to needs over time
  • based on the individual and their family’s wishes
  • value for money.

Definition

‘A physical or mental impairment that has a substantial (more than minor or trivial) and long-term (12 months or more) negative effect on your ability to do normal activities’ – Equality Act 2010.

A disability can arise from a wide range of impairments:

  • sensory impairments
  • impairments with fluctuating or recurring effects
  • progressive impairments
  • auto immune conditions
  • organ specific impairments
  • developmental impairments
  • learning disabilities
  • mental health conditions
  • mental illness
  • injury related impairments
  • cancer/MS/HIV diagnoses.

A learning difficulty is defined as an individual has difficulty processing information but there is no impact on general intelligence.  Learning disability is defined as an overall cognitive impairment and can be mild, moderate or severe.

Prevalence of disability in the adult population of Northamptonshire

Around 17.5% of the UK adult population have a disability.  In Northamptonshire, around 21% of the adult population have a disability. This amounts to almost 116,000 people.

Around 2.3% of the adult population have a learning disability, around 18.4% have a physical disability.

Compared to the Northamptonshire average, there are higher proportions of physically disabled people in the boroughs of Wellingborough, South Northamptonshire, East Northamptonshire, Daventry and Kettering (in that order, starting with the district with highest proportions). Northampton Borough has the lowest proportion of physically disabled residents but, being the largest populated borough, has the highest absolute numbers. The proportion of adults with a learning disability is similar across all the boroughs/districts.

Approximate number of adults with a disability in each borough/district:

​Borough/districtApproximate number of adults with a disability​
​Corby​10,350
​Daventry​13,500
​East Northamptonshire​14,950
​Kettering ​16,000
​Northampton ​33,000
​South Northamptonshire​14,800
​Wellingborough​13,250

89% of the above are those with physical disabilities (PD), the remaining 11% have learning disabilities, with the exceptions of Northampton (88% PD) and Wellingborough (90% PD),

Around 54% of the adults with a disability are female.

There were approximately 22,200 DLA/PIP claimants in Northamptonshire in May 2016.  The peak age for DLA/PIP claimants is 70 to 74 years, 15% of all claimants are in this age band.

Projections

Using the POPPI and PANSI tools, the predictions show an increase of around 24,000 people with a disability between 2015 and 2025. There is expected to be an increase of around 12,000 people with a disability in the following five years to 2030.

There is predicted to be a total increase of around 23,000 adults with a physical disability between 2015 and 2025, with a further increase of approximately 11,800 in the subsequent 5 years to 2030.  The majority of these increases are in the over 65 population of the county, whose numbers are anticipated to grow by almost a third in the next 10 years (from around 58,400 to 78,300) and to increase by a further 11,800 or so in the following 5 years to 2030. 

Numbers of adults with a learning disability in Northamptonshire are predicted to increase from 13,076 in 2015 to 14,106 10 years later.  In the subsequent 5 years to 2030, numbers are expected to rise by another 500 or so to 14,689. Younger adults aged 18-64 make up the majority of adults with a learning disability in Northamptonshire, but the figure shows that the older age group, 65 and over, is the one that will grow by the most over the next 10 and 15 years.

The number of younger people with a moderate or severe learning disability is expected to increase by around 100, the number of older people by around 150 by 2030. 

Within 10 years, estimates suggest there will be around 450 more adults with an autistic spectrum disorder by 2025 than there were in 2015, around 350 of these will be aged 65 and over.  The following five years to 2030 will see that number increase by another 250 or so, the majority again being older people.

Access to services

From April 2016 up until January 14th 2017, Northamptonshire’s Adult Social Care team received 8,123 new requests.

When viewed as a rate per 1,000 of the adult population (aged 16 and over) of boroughs, Kettering has the highest rate of new requests for support from Northamptonshire Adult Social Services (NASS) with 21.44 per 1,000 adult residents.  Kettering’s rate is almost 3 people per 1,000 higher than the second highest rate of 18.66 in Wellingborough.  The five other localities were below the county average of 18.64 per 1,000 adult residents with South Northamptonshire being the lowest at 14.1.

In September 2016, there were 7,086 people receiving long term support from NASS.  Of these, 2,764 were aged between 18 and 64, the remaining 4,322 were aged 65 and over.  This represents 1.26% of the total adult population of the county, 0.64% of the 18 to 64 population and 3.45% of the population aged 65 and over.

88.4% of adults aged 18-64 receiving support from Northamptonshire’s Adult Social Care Services have their ethnicity recorded as ‘White British’. This is slightly lower than the 91.5% of the general population of the county recorded as ‘White British’ according to the 2011 census.

The Younger Adults teams, where the majority of clients are under 65 years of age, see an almost 50/50 gender split, however the other teams where the average age is higher have a higher proportion of female clients.  This will be, at least in part, due to the longer life expectancy for females in Northamptonshire. 

Recommendations

  • Improve  data entry requirements across statutory services to address the gaps in knowledge in relation to learning disabilities and co-morbid conditions such as mental health, autism and dementia.
  • Record where peoples behaviour are a significant challenge to services to enable contribution to the county’s dynamic risk register.
  • Recording of ethnicity to increase ability to provide culturally sensitive care.
  • Prevention programmes to avoid development of physical disabilities in older age.
  • Develop a programme to increase levels of paid employment in Adult Social Care clients with disabilities and collect data regarding outcomes for those obtaining paid employment.
  • Work with CCG’s and other commissioning partners to identify reasons for higher or avoidable hospital admission rates in people with learning disabilities.
  • Develop a targeted self-care/empowerment programme to increase independence in Adult Social Care clients.
  • Develop support to facilitate more people who receive Adult Social Care services, and those in contact with Mental Health services to live independently, including reducing the numbers of people in these categories in ‘unstable’ accommodation.
  • Further analysis of cost of care.
  • Further analysis of length of interventions.
  • Are voluntary organisations positioned according to need or are inequalities being created due to spatial location of services?

Locality profiles

Corby

  • Approximately 10,350 people in Corby have a disability of some description. That is a rate of 203.6 per 1000 residents aged over 18.
  • 89% of them have a physical disability.
  • 11% have a learning disability.
  • A little over half of the people with a disability in Corby are aged 65 and over.
  • Numbers of Corby residents with a physical disability are expected to increase by almost 25% in the 10 years from 2015 to 2025.  The increase is most pronounced in those aged 65 to 85.
  • The number of people in these age groups with a physical disability is anticipated to increase again sharply between 2025 and 2030.
  • The numbers of Corby citizens with a learning disability is expected to rise by 12%, with the age bands seeing the highest increases being 35-44 and the three age bands between 55 and 84.

Daventry

  • Approximately 13,500 people in Daventry have a disability of some description. That is a rate of 212.2 per 1000 residents aged over 18.
  • Around 89% of them have a physical disability.
  • 11% have a learning disability.
  • About 53% of the people with a disability in Daventry are aged 65 and over.
  • Predicted increase of 24% in the numbers of people with physical disabilities in Daventry.
  • The numbers of younger people with a physical disability is predicted to fall over the next 10-15 years, but the increase in numbers of older people with a physical disability is expected to be much higher than any decreases in younger cohorts.
  • The number of adults with a learning disability is predicted to grow by almost 6% in the ten years between 2015 and 2025. The older cohorts will see the biggest increases, with the 75-84 age group anticipated to grow by over 70%.

East Northamptonshire

  • Approximately 14,950 people in East Northamptonshire have a disability. That is a rate of 212.6 per 1000 residents aged over 18.
  • 89% of them have a physical disability.
  • 11% have a learning disability.
  • 54% of the people with a disability in East Northamptonshire are aged 65 and over.
  • The numbers of East Northamptonshire residents with physical disabilities aged 18 to 54 will gradually decrease over the upcoming 10 to 15 years.
  • The numbers of people with physical disabilities aged 55 and over is anticipated to increase dramatically.  In common with other areas, it’s the 75 to 84 year age group that is likely to see the most significant increases, around 45% between 2015 and 2025.
  • The numbers of East Northamptonshire residents with a learning disability is expected to fall for those aged 18 to 54.
  • The numbers of East Northamptonshire residents with a learning disability aged 55 and over is expected to increase at a greater rate than the decrease in younger adults. Particularly sharp increases are expected in those aged 75 and over.

Kettering

  • Almost 16,000 people in Kettering have a disability of some description. That is a rate of 210.1 per 1000 residents aged over 18.
  • 89% of them have a physical disability.
  • 11% have a learning disability.
  • 54% of the people with a disability in Kettering are aged 65 and over.
  • The numbers of Kettering residents with physical disabilities aged 75 and above will gradually increase over the upcoming 10 to 15 years. This is in line with other areas of the county.
  • The numbers of residents with physical disabilities aged 18-54 has been forecast to remain similar across the upcoming 10 to 15 years.
  • The numbers of Kettering residents with a learning disability aged 55 and over is expected to increase over the next 10 to 15 years.
  • Particularly sharp increases are expected in those aged 75 and over.
  • The predicted increase in the number of older people with learning disabilities is than for physical disabilities.

Northampton

  • Approximately 33,000 people in Northampton have a disability of some description. That is a rate of 192.8 per 1000 residents aged over 18, the lowest rate in the county.
  • 88% of them have a physical disability.12% have a learning disability.
  • Half of all the people with a disability in Northampton are aged 65 and over. This is the lowest proportion of any area in the county.
  • As the area of the county with the highest population, the increases in numbers of people, particularly older people, with disabilities is the largest of the seven boroughs and districts.
  • The numbers of Northampton residents with disabilities aged 55 and above will gradually increase over the upcoming 10 to 15 years. This is in line with other areas of the county. A particularly sharp increases is expected in those aged 75 and over.
  • The numbers of Northampton residents with physical disabilities aged 18-54 has been forecast to remain similar across the upcoming 10 to 15 years.
  • In Northampton, younger people are more likely to have learning disabilities and older people to have physical disabilities.

South Northamptonshire

  • Approximately 14,800 people in South Northamptonshire have a disability of some description. That is a rate of 212.1 per 1000 residents aged over 18.
  • Of these 89% of them have a physical disability and 11% have a learning disability.
  • 53% of the people with a disability in South Northamptonshire are aged 65 and over.
  • The numbers of South Northamptonshire residents aged 18-54 with disabilities is anticipated to fall during the upcoming 10 to 15 years.
  • The numbers of older South Northamptonshire residents with either a physical or learning disability is anticipated to increase considerably over the next 10 to 15 years.
  • The numbers of South Northamptonshire residents aged 18-54 with disabilities is anticipated to fall during the upcoming 10 to 15 years.
  • The numbers of older South Northamptonshire residents with either a physical or learning disability is anticipated to increase considerably over the next 10 to 15 years.

Wellingborough

  • Approximately 13,250 people in Wellingborough have a disability of some description. That is a rate of 222.5 per 1000 residents aged over 18, which is the highest rate in the county.
  • 89.6% of them have a physical disability.
  • 10.4% have a learning disability.
  • 56% of the people with a disability in Wellingborough are aged 65 and over. This area has the highest proportion of older people with disabilities in the county.
  • Wellingborough residents with a disability follow a similar pattern to the other districts and boroughs of Northamptonshire.
  • The numbers of Wellingborough residents aged 18-54 with disabilities has been forecast to fall slightly across the upcoming 10 to 15 years.
  • The numbers of Wellingborough residents with physical disabilities aged 55 and above will increase over the upcoming 10 to 15 years. This increase will account for more than the fall in the younger population, resulting in an overall increase.
  • Particularly sharp increases are expected in those aged 75 and over with both kinds of disabilities.

 ‭(Hidden)‬ Related pages

Please Add Some Content

 ‭(Hidden)‬ Useful links

Please Add Some Content
View Health and Wellbeing Board meetings live using our webcasts portal.

Northamptonshire County Council announces two new cabinet member roles

View on Facebook

Northamptonshire County Council announces two new cabinet member roles

Northamptonshire County Council announces two new cabinet member roles http://www3.northamptonshire.gov.uk/news/council-news/Pages/northamptonshire-...

View on Facebook
Northamptonshire County Council

Northamptonshire County Council

about 20 hours ago

Jane Roebuck Carers Awards Nominations 2017

The search is now on for the most outstanding carers in Northamptonshire – as well as those who go out of their way to help carers fulfil their demand...

View on Facebook
Northamptonshire County Council

Northamptonshire County Council

about 23 hours ago

County council's economic report highlights importance of growth corridor

View on Facebook

Elderly members of the community are more vulnerable in the winter months. Please take time to check up on your older neighbours and relatives. Pleas...

View on Facebook

County council to approve new school hall for West Haddon Primary School

View on Facebook